PRIMARY CARE OF ADA, LLC
NPI 1851744312
Internal Medicine in Ada, OK

Q: What is Primary Care Of Ada, LLC's NPI number?

The NPI number for Primary Care Of Ada, LLC is 1851744312. It was assigned to this organization in the NPPES registry on July 20, 2016.

Q: What is Primary Care Of Ada, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 20, 2016

1705 CRADDUCK RD, ADA, OK 74820(580) 279-6313 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Primary Care Of Ada, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE OF ADA, LLC (NPI 1851744312) is a healthcare organization registered as an internal medicine in Ada, Oklahoma and active in the NPI registry since July 2016. The organization lists Randi Ivy, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1851744312

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePRIMARY CARE OF ADA, LLC

Location Address1705 CRADDUCK RDAda, OK 74820-9491

Mailing Address1705 Cradduck Rd Ste BAda, OK 74820-9491

Phone(580) 279-6313

Organization SubpartNo

Authorized OfficialRandi IvyCredentialing Specialist · (580) 272-0485

Enumeration DateJuly 20, 2016

Last NPPES UpdateDecember 23, 2021

NPPES CertifiedDecember 23, 2021

✔ NPI 1851744312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1705 CRADDUCK RD, Ada, OK 74820

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC HOLMES

Counselor (Mental Health)